Data Element Specifications
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California CABG Outcomes Reporting Program (CCORP) Data Element Specifications Version 7.1 May 5, 2019 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 (1) Medical Record Number: (A) Format: Alphanumeric, length 12 (B) Valid Values: Free text (C) Category: Demographics (D) Definition/Description: Indicate the patient's medical record number at the hospital where surgery occurred. (2) Type of Coronary Artery Bypass Graft (CABG): (A) Format: Numeric, length 1 (B) Valid Values: 1 = Isolated CABG; 3 = CABG + Valve; 4= Other non-isolated CABG (C) Category: Operative (D) Definition/Description: Indicate the type of CABG. (i) Type of CABG should be coded Isolated CABG if none of the procedures listed in this subsection was performed concurrently with the coronary artery bypass surgery. (a) Valve repairs or replacements (b) Operations on structures adjacent to heart valves (papillary muscle, chordae tendineae, traebeculae carneae cordis, annuloplasty, infundibulectomy) (c) Ventriculectomy when diagnosed preoperatively as a rupture, aneurysm or remodeling procedure. Excludes 1) sites intra-operatively diagnosed, 2) patch applications for site oozing discovered during surgery and 3) prophylactic patch applications to reduce chances of future rupture (d) Repair of atrial and ventricular septa, excluding closure of patent foramen ovale (e) Excision of aneurysm of heart (f) Head and neck, intracranial endarterectomy (g) Other open heart surgeries, such as aortic arch repair, pulmonary endarterectomy (h) Endarterectomy of aorta (i) Thoracic endarterectomy (endarterectomy on an artery outside the heart) (j) Carotid endarterectomy (k) Heart transplantation (l) Repair of certain congenital cardiac anomalies, excluding closure of patent foramen ovale (e.g., tetralology of fallot, atrial septal defect (ASD), ventricular septal defect (VSD), valvular abnormality) (m) Any aortic aneurysm repair (abdominal or thoracic) (n) Aorta-subclavian-carotid bypass (o) Aorta-renal bypass (p) Aorta-iliac-femoral bypass Page 2 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 (q) Caval-pulmonary artery anastomosis (r) Extracranial-intracranial (EC-IC) vascular bypass (s) Coronary artery fistula (t) Resection of a lobe or segment of the lung (e.g., lobectomy or segmental resection of lung). Does not include simple biopsy of lung nodule in which surrounding lung is not resected, biopsy of a thoracic lymph node, or excision or stapling of an emphysematous bleb. (u) Pleural decortication (v) Mastectomy for breast cancer (not simple breast biopsy) (w) Amputation of any part of an extremity (e.g., foot or toe) (x) Resection of LV aneurysm (y) Ventricular Assist Devise (VAD) as bridge to transplant (z) Septal myectomy with hypertrophic obstructive cardiomyopathy (aa) Full open MAZE (ii) Type of CABG should be coded CABG + Valve if none of the procedures listed in this subsection were performed concurrently with a CABG that included aortic valve replacement (AVR), mitral valve replacement (MVR), mitral valve repair (MV repair), or AVR+MVR/MV repair. (a) Pulmonic Valve Procedure (b) Tricuspid Valve Procedure (c) Ventriculectomy when diagnosed preoperatively as a rupture, aneurysm or remodeling procedure. Excludes 1) sites intra-operatively diagnose, 2) patch application for site oozing discovered during surgery, and 3) prophylactic patch applications to reduce chances of future rupture (d) Repair of atrial and ventricular septa, excluding closure of patent foramen ovale (e) Excision of aneurysm of heart (f) Head and neck intracranial endarterectomy (g) Other open heart surgeries such as aortic arch repair, pulmonary endarterectomy (h) Endarterectomy of aorta (i) Thoracic endarterectomy (endarterectomy on an artery outside the heart) (j) Carotid endarterectomy (k) Resection of LV aneurysm (l) Heart transplantation (m) Repair of congenital cardiac anomalies such as tetraology of fallot, atrial septal defect (ASD), ventricular septal defect (VSD), or other complex anomaly (n) Any aortic aneurysm repair (abdominal or thoracic) (o) Repair of aortic dissection Page 3 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 (p) Aorta-subclavian-carotid-bypass (q) Aorta-renal bypass (r) Aorta-iliac-femoral bypass (s) Caval-pulmonary artery anastomosis (t) Extracranial-intracranial (EC-IC) vascular bypass (u) Coronary artery fistula (v) Resection of a lobe or segment of the lung (e.g., lobectomy or segmental resection of lung). Does not include simple biopsy of lung nodule in which surrounding lung is not resected, biopsy of a thoracic lymph node or excision or stapling of an emphysematous bleb (w) Pleural Decortication (x) Mastectomy for breast cancer (not simple breast biopsy) (y) Amputation of any extremity (e.g., foot or toe) (z) Resection of LV aneurysm (aa) Ventricular Assist Devise (VAD) as a bridge to transplant (bb) Infundibulectomy (cc) Septal myectomy with hypertrophic obstructive cardiomyopathy (dd) Full Open MAZE for Aortic Valve cases only (epicardial MAZE procedures are not excluded and Full Open procedures are not excluded for Mitral Valve) (iii) Type of CABG should be coded Other Non-isolated CABG if case is not included in Isolated CABG or CABG + Valve (3) Date of Surgery: (A) Format: Numeric, length 8 (B) Valid Values: mmddyyyy (C) Category: Hospitalization (D) Definition/Description: Indicate the date of index cardiac surgical procedure. Index cardiac surgical procedure is defined as the initial major cardiac surgical procedure of the hospitalization. (4) Date of Birth: (A) Format: Numeric, length 8 (B) Valid Values: mmddyyyy (C) Category: Demographics (D) Definition/Description: Indicate the patient's date of birth using 4-digit format for year. (5) Patient Age: (A) Format: Numeric, length 3 (B) Valid Values: 18 - 110 (C) Category: Demographics (D) Definition/Description: Indicate the patient's age in years, at time of surgery. Page 4 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 This should be calculated from the date of birth and the date of surgery, according to the convention used in the USA (the number of birthdate anniversaries reached by the date of surgery). (6) Sex: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Male; 2 = Female (C) Category: Demographics (D) Definition/Description: Indicate the patient's sex at birth as either male or female. (7) Race Documented: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No; 3 = Patient declined to disclose (C) Category: Demographics (D) Definition/Description: Indicate whether the race is documented. (8) Race - White: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes White. "White" refers to a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. It includes people who indicated their race(s) as "White" or reported entries such as Irish, German, Italian, Lebanese, Arab, Moroccan, or Caucasian. (9) Race - Black/African American: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes Black / African American. "Black or African American" refers to a person having origins in any of the Black racial groups of Africa. It includes people who indicated their race(s) as "Black, African Am., or Negro" or reported entries such as African American, Kenyan, Nigerian, or Haitian. (10) Race - Asian: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes Asian. "Asian" refers to a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. It includes Page 5 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 people who indicated their race(s) as "Asian" or reported entries such as "Asian Indian", "Chinese", "Filipino", "Korean" Japanese", "Vietnamese", and "Other Asian" or provided other detailed Asian responses. (11) Race - American Indian/Alaskan Native: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes American Indian / Alaskan Native. "American Indian or Alaska Native" refers to a person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment. This category includes people who indicated their race(s) as "American Indian or Alaska Native" or reported their enrolled or principal tribe, such as Navajo, Blackfeet, Inupiat, Yup’ik, or Central American Indian groups or South American Indian groups. (12) Race - Native Hawaiian/Pacific Islander: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as